|
Tacrolimus 1 mg capsule, immediate-release
|
$3.00 |
$3.00 |
$3.00 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,150.74 |
$1,150.74 |
$1,150.74 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$39.00 |
$39.00 |
$39.00 |
$122.40
|
|
Talymed
|
$3,411.49 |
$3,411.49 |
$3,411.49 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$2,408.40 |
$2,408.40 |
$2,408.40 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,204.80 |
$1,204.80 |
$1,204.80 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$3,193.20 |
$3,193.20 |
$3,193.20 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$6,127.20 |
$6,127.20 |
$6,127.20 |
$3,746.70
|
|
Target gsa panel organ neop
|
$997.80 |
$997.80 |
$997.80 |
$1,655.52
|
|
Tavr perq femoral
|
$14,964.60 |
$14,964.60 |
$14,964.60 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,727.58 |
$1,727.58 |
$1,727.58 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$151.20 |
$151.20 |
$151.20 |
$177.65
|
|
Tc-99m exame autol wbc diag per dose
|
$5,141.94 |
$5,141.94 |
$5,141.94 |
$2,435.36
|
|
Tc-99m mebrofenin
|
$122.40 |
$122.40 |
$122.40 |
$157.65
|
|
Tc-99m mertiatide
|
$387.00 |
$387.00 |
$387.00 |
$756.00
|
|
Tc-99m oxidronate
|
$1,031.10 |
$1,031.10 |
$1,031.10 |
$105.60
|
|
Tc-99m sestamibi p study dose
|
$230.40 |
$230.40 |
$230.40 |
$274.45
|
|
Tc-99m sulfur colloid
|
$205.80 |
$205.80 |
$205.80 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$190.80 |
$190.80 |
$190.80 |
$190.80
|
|
T cells absolute cd4/cd8 including ratio
|
$292.80 |
$292.80 |
$292.80 |
$176.40
|
|
T cells absolute cd 4 count
|
$49.20 |
$49.20 |
$49.20 |
$111.20
|
|
T cells total count
|
$85.20 |
$85.20 |
$85.20 |
$126.90
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$10,201.68 |
$10,201.68 |
$10,201.68 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$35,844.18 |
$35,844.18 |
$35,844.18 |
$15,245.38
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$75,147.78 |
$75,147.78 |
$75,147.78 |
$2,139.67
|
|
Tension based scoliosis orth
|
$7,573.03 |
$7,573.03 |
$7,573.03 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$6.00 |
$6.00 |
$6.00 |
$39.33
|
|
Tert gene targeted seq alys
|
$1,493.40 |
$1,493.40 |
$1,493.40 |
$335.00
|
|
Test for chlorohydrocarbons
|
$132.60 |
$132.60 |
$132.60 |
$65.00
|
|
Test pathogen(s) for platelets reference
|
$75.00 |
$75.00 |
$75.00 |
$70.00
|
|
Test socket below knee
|
$610.71 |
$610.71 |
$610.71 |
$535.15
|
|
Tetanus immune globulin inj
|
$2,804.46 |
$2,804.46 |
$2,804.46 |
$1,285.36
|
|
Therapeutic procd strg endur
|
$260.40 |
$260.40 |
$260.40 |
$85.68
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$805.06 |
$805.06 |
$805.06 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$1,073.75 |
$1,073.75 |
$1,073.75 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$567.44 |
$567.44 |
$567.44 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$740.42 |
$740.42 |
$740.42 |
$657.72
|
|
Thorac cont lat support upri
|
$346.21 |
$346.21 |
$346.21 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$377.39 |
$377.39 |
$377.39 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$5,568.70 |
$5,568.70 |
$5,568.70 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$423.94 |
$423.94 |
$423.94 |
$387.41
|
|
Thoracic pad
|
$256.25 |
$256.25 |
$256.25 |
$234.19
|
|
Thoracotomy with cardiac massage
|
$1,542.00 |
$1,542.00 |
$1,542.00 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$2,720.16 |
$2,720.16 |
$2,720.16 |
$225.50
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,761.80 |
$5,761.80 |
$5,761.80 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$14,227.80 |
$14,227.80 |
$14,227.80 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$25,210.20 |
$25,210.20 |
$25,210.20 |
$21,413.60
|
|
Thrombin time
|
$22.80 |
$22.80 |
$22.80 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$24.60 |
$24.60 |
$24.60 |
$61.52
|
|
Th/wght bear nar m-l brim cu
|
$1,515.38 |
$1,515.38 |
$1,515.38 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$2,696.86 |
$2,696.86 |
$2,696.86 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$1,271.78 |
$1,271.78 |
$1,271.78 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$1,908.28 |
$1,908.28 |
$1,908.28 |
$1,695.23
|
|
Thyroglobulin antibody
|
$54.00 |
$54.00 |
$54.00 |
$82.00
|
|
Thyroid imaging
|
$595.80 |
$595.80 |
$595.80 |
$695.02
|
|
Thyroid met imaging
|
$648.00 |
$648.00 |
$648.00 |
$838.25
|
|
Thyroid mets imag whole body
|
$1,347.60 |
$1,347.60 |
$1,347.60 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$120.60 |
$120.60 |
$120.60 |
$111.00
|
|
Thyroid Ultrasound
|
$693.00 |
$693.00 |
$693.00 |
$588.50
|
|
Thyroid uptake measurement
|
$448.80 |
$448.80 |
$448.80 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,615.74 |
$1,615.74 |
$1,615.74 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$32.40 |
$32.40 |
$32.40 |
$64.35
|
|
Tirofiban 12.5 mg/50 ml
|
$1,078.38 |
$1,078.38 |
$1,078.38 |
$458.85
|
|
Tissue amnio epifix inj 100mg
|
$7,611.55 |
$7,611.55 |
$7,611.55 |
$4,834.73
|
|
Tissue culture placenta
|
$285.00 |
$285.00 |
$285.00 |
$457.00
|
|
Tissue culture skin/biopsy
|
$291.60 |
$291.60 |
$291.60 |
$484.00
|
|
Tissue culture tumor
|
$268.80 |
$268.80 |
$268.80 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$27.60 |
$27.60 |
$27.60 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$33,376.04 |
$33,376.04 |
$33,376.04 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$20.40 |
$20.40 |
$20.40 |
$44.16
|
|
Tlh w/t/o 250 g or less
|
$44,443.62 |
$44,443.62 |
$44,443.62 |
$12,320.22
|
|
Tlso 2mod symphis-xipho pre
|
$2,110.21 |
$2,110.21 |
$2,110.21 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$1,817.14 |
$1,817.14 |
$1,817.14 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$2,160.47 |
$2,160.47 |
$2,160.47 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,687.36 |
$2,687.36 |
$2,687.36 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$1,183.29 |
$1,183.29 |
$1,183.29 |
$1,051.18
|
|
Tlso corset front
|
$252.85 |
$252.85 |
$252.85 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$820.60 |
$820.60 |
$820.60 |
$931.57
|
|
Tlso full corset
|
$413.47 |
$413.47 |
$413.47 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$897.72 |
$897.72 |
$897.72 |
$801.11
|
|
Tlso r fram soft pre ots
|
$897.72 |
$897.72 |
$897.72 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$1,125.03 |
$1,125.03 |
$1,125.03 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$1,125.03 |
$1,125.03 |
$1,125.03 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$1,556.79 |
$1,556.79 |
$1,556.79 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$3,410.30 |
$3,410.30 |
$3,410.30 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,375.18 |
$2,375.18 |
$2,375.18 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$3,573.87 |
$3,573.87 |
$3,573.87 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$669.31 |
$669.31 |
$669.31 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$1,117.92 |
$1,117.92 |
$1,117.92 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$360.96 |
$360.96 |
$360.96 |
$152.36
|
|
Tobramycin non-comp unit
|
$55.68 |
$55.68 |
$55.68 |
$108.42
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,736.60 |
$5,736.60 |
$5,736.60 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$45.60 |
$45.60 |
$45.60 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$60.60 |
$60.60 |
$60.60 |
$72.68
|
|
Tonsillectomy (age 12+)
|
$17,189.58 |
$17,189.58 |
$17,189.58 |
$4,424.11
|
|
Torsion ank & half solid sti
|
$291.13 |
$291.13 |
$291.13 |
$291.13
|
|
Torsion straight knee joint
|
$253.84 |
$253.84 |
$253.84 |
$253.84
|
|
Total Hip Replacement
|
$44,384.87 |
$44,384.87 |
$44,384.87 |
$9,161.60
|
|
Total Knee Replacement
|
$53,346.68 |
$53,346.68 |
$53,346.68 |
$14,543.50
|
